GOOD MORNING

ATRAUMATIC RESTORATIVE

TREATMENT (ART)

YASMIN MOIDIN 2008 BATCH

AL AZHAR DENTAL COLLEGE

THODUPUZHA

CONTENTSIntroduction

Principles

Indications

Contraindications

Advantages

Instruments for ART

Materials for ART

Procedure

Conclusion

INTRODUCTIONART is based on modern knowledge about

minimal intervention, minimal invasion and

minimal cavity preparation for carious lesions

It is a procedure based on removing carious

tooth tissues using hand instruments along

and restoring the cavity with an adhesive

material

PRINCIPLESRemoving carious tooth tissues using hand

instruments only

Restoring the cavity with a restorative

material that sticks to the tooth

INDICATIONS ART is carried out

Only in small cavities

In those cavities that are accessible to hand

instruments

Public health programs

CONTRAINDICATIONS ART should not be used when:

There is presence of swelling or fistula near

the carious tooth

The pulp of tooth is exposed

Teeth have been painful for a long time and

there may be chronic inflammation of the

pulp

There is an obvious carious cavity, but the

opening is inaccessible to hand instruments

There are clear signs of a cavity, eg: in a

proximal surface, but the cavity cannot be

entered from the proximal or the occlusal

direction

ADVANTAGES‘ART’ is a biological approach that requires minimal

cavity preparation that conserves sound tooth tissues

and causes less trauma to teeth

As ART is painless, the need for local anesthetics are

reduced and reduces the psychological trauma to the

patients

Simplifies infection control as hand instruments can

easily be cleaned and sterilized

No electrically driven and expensive dental

equipment needed which enables ART to be

practiced in remote areas and in the field

This technique is simple enough to train non-

dental personnel or primary healthcare

workers

ART approach is very cost effective

Use -> Among children, fearful adults,

physically and mentally handicapped

INSTRUMENTSMouth Mirror

Explorer

Tweezers

Spoon Excavator

Dental hatchet

Carver

Mixing pad and spatula

MATERIALSCotton wool rolls

Cotton wool pellets

Petroleum jelly

Plastic Strip

Wedges

Glass Ionomer cement

PROCEDURESArrange a good working environment

Outside the mouth Operators – posture and position Assistance Patient position Operating light

Inside the mouth Control of Saliva

Hygiene and Control of Cross InfectionRestoring the Cavity

• Caries removal

• Conditioning the prepared cavity

• Mixing

• Restoring the cavity

- press finger technique

CONCLUSIONThe ART procedure has been developed to focus on

developing countries of people who are unable to

obtain restorative dental care

ART is a combined preventive and curative oral

care procedure which must be administered along

with health promoting messages about a prudent

diet , good oral hygiene, use of fluoride toothpaste

and sealant application

REFERENCES

ESSENTIALS OF PREVENTIVE AND

COMMUNITY DENTISTRY 4TH EDITION -

SOBAN PETER

THANK YOU !